Parsons Jeffrey T, Vicioso Kalil J, Punzalan Joseph C, Halkitis Perry N, Kutnick Alexandra, Velasquez Mary M
Hunter College and the Graduate Center of the City University of New York, 695 Park Avenue, New York, New York 10021, USA.
J Sex Res. 2004 May;41(2):160-72. doi: 10.1080/00224490409552224.
The literature on alcohol use has failed to form a consensus on the association between alcohol use and unsafe sex among samples of men who have sex with men (MSM). Although drinking behavior may not be causally related to unsafe sex, it is possible that alcohol use plays a role in sexual scripts. In this paper, we assessed the role that alcohol use plays in the sexual experiences of HIV-seropositive MSM in terms of sexual script theory. An ethnically diverse sample (81% men of color) of HIV-positive MSM with alcohol use disorders from the New York City metropolitan area was recruited from a variety of settings frequented by such men. A critical incident measure was used to qualitatively assess contextual issues regarding participants' most recent incident of unsafe sex while under the influence of alcohol. Qualitative analysis revealed three basic sexual scripts involving alcohol: routine, spontaneous, and taboo. Each script had its own sources of risk for unsafe sex. Interventions targeting alcohol use and unsafe sex should be sensitive to the role that alcohol plays in the sexual scripts of HIV-positive MSM.
关于饮酒行为的文献未能就男男性行为者（MSM）样本中饮酒与不安全性行为之间的关联达成共识。尽管饮酒行为可能与不安全性行为没有因果关系，但饮酒可能在性脚本中发挥作用。在本文中，我们根据性脚本理论评估了饮酒在HIV血清阳性男男性行为者性经历中所起的作用。我们从纽约市大都市区有饮酒障碍的HIV阳性男男性行为者中招募了一个种族多样的样本（81%为有色人种男性），这些人来自此类男性常去的各种场所。采用关键事件测量法对参与者在饮酒影响下最近一次不安全性行为的相关背景问题进行定性评估。定性分析揭示了三种涉及酒精的基本性脚本：常规型、自发型和禁忌型。每个脚本都有其自身导致不安全性行为的风险来源。针对饮酒和不安全性行为的干预措施应考虑到酒精在HIV阳性男男性行为者性脚本中所起的作用。
